Medicaid Home Care Advocacy Training

New York’s Medicaid home care program is the most comprehensive in the country, enabling about 100,000 elderly or disabled persons a year to remain in their homes.  As the government has cut back on all entitlements in the last decade, changes in policy make it more difficult to access home care.  Aggressive advocacy is needed to obtain the amount of home care that clients need, but this requires intensive development of facts and medical evidence. 

This training will explain to viewers the differences between the six different Medicaid home care programs, how to prepare medical documentation and win benefits for their clients, either through advocacy at the local Medicaid offices run by the Department of Social Services in each county (the “CASA” offices in NYC),  by advocacy with certified home health care agencies (CHHAs), or by representing clients at a fair hearing.

Because of its length, this training has been broken into three parts.  It is not required that all three parts of this training be viewed in order to receive CLE credit. 
Application for accreditation of this course or program in New York is currently pending for approval as a New York CLE transitional program.

As a non-traditional format course, no CLE credit will be available to newly admitted attorneys (less than 2 years).   

SEE DETAILS FOR PARTS 1, 2 and 3

Medicaid Home Care Advocacy Training - Part 1

Learn the six different types of home care and which one suits your client:

o   Personal care/home attendant

o   Certified home health care (CHHA),

o   Waiver services (Lombardi, TBI, Nursing Home Diversion & Transition Waiver),

o   Private Duty Nursing,

o   Managed Long Term Care &

o   Consumer Directed Personal Assistance Program). 

What are the eligibility criteria, and which agency approves care.   Learn about the financial issues in home care – how does each program treat the “spend-down,” spousal refusal, pooled trusts, transfers of assets, and the changing “spousal impoverishment” protections in the waiver programs (Lombardi, TBI)

Date of Original Presentation:  1/13/09
Viewing Time:  2 hours 20 minutes

Presenters:  Valerie Bogart & David Silva, Selfhelp Community Services, Inc.,  Evelyn Frank Legal Resources Program

CLE Credits:  2.5 Professional Practice (Application for accreditation of this course is currently pending) no CLE credit will be available to newly admitted attorneys (less than 2 years). 

Cost for this viewing this training if CLE credit is requested: 

            $75 per Part for not-for-profit agencies, or $180 for all three sessions

            $100 per Part for private law firms and geriatric care managers, or $270 for all three sessions.    

If CLE credit is not requested, the cost of this training is:

            $25 for not-for-profit agencies and students;

            $50 for private law firms and geriatric care managers 

When you complete the registration form below, you will receive a link to the training and materials to download.  The link to the CLE forms will be on the training page.

Financial Hardship Policy available upon request.   Contact Liz Price, Selfhelp Community Services Training Coordinator legal@selfhelp.net  

Medicaid Home Care Advocacy Training - Part 2

How to prepare an application for personal care (a/k/a home attendant) services that will have a better chance of being approved in the amount of hours your client needs.   The application is based on the treating physician’s order, called the “M11q” in New York City.   Learn how the local DSS (CASA) evaluates requests and what standards it uses, and how to advocate at the local DSS (CASA) for more hours.   Though the New York City physician’s order form will be discussed, the applicable regulations and policies are statewide. 

Date of Original Presentation:  1/13/09

Viewing Time:  3 hours

Presenters:  Valerie Bogart & David Silva, Selfhelp Community Services, Inc., Evelyn Frank Legal Resources Program

CLE Credits:  4.0 Professional Practice (Application for accreditation of this course is currently pending) -- no CLE credit will be available to newly admitted attorneys (less than 2 years).  

CLE CREDIT -- Cost for this viewing this training if CLE credit is requested: 

            $75 per Part for not-for-profit agencies, or $180 for all three sessions

            $100 per Part for private law firms and geriatric care managers, or $270 for all three sessions.   

If CLE credit is not requested, the cost of this training is:

            $25 for not-for-profit agencies and students;

            $50 for private law firms and geriatric care managers 

When you complete the registration form below, you will receive a link to the training and materials to download.  The link to the CLE forms will be on the training page.

Financial Hardship Policy available upon request.   Contact Liz Price, Selfhelp Community Services Training Coordinator legal@selfhelp.net    

Medicaid Home Care Advocacy Training - Part 3

How to prepare for and advocate at fair hearings, the Varshavsky “home hearing” process, fair hearing rights in Certified Home Health Agency (CHHA) cases (Catanzano),  and how to request reimbursement for out-of-pocket care privately paid for before application was filed and while it is pending.  

Date of Original Presentation:  2/02/09

Viewing Time:  3 hours 10 minutes

Presenters:  Valerie Bogart & David Silva, Selfhelp Community Services, Inc., Evelyn Frank Legal Resources Program

CLE Credits:  3.5 Professional Practice   (Application for accreditation of this course is currently pending) -- As a non-traditional format course, no CLE credit will be available to newly admitted attorneys (less than 2 years).   

CLE CREDIT -- Cost for this viewing this training if CLE credit is requested: 

            $75 per Part for not-for-profit agencies, or $180 for all three sessions

            $100 per Part for private law firms and geriatric care managers, or $270 for all                                three sessions.   

If CLE credit is not requested, the cost of this training is:

            $25 for not-for-profit agencies and students;

            $50 for private law firms and geriatric care managers 
  
When you complete the registration form below, you will receive a link to the training and materials to download.  The link to the CLE forms will be on the training page.

Financial Hardship Policy available upon request.   Contact Liz Price, Selfhelp Community Services Training Coordinator legal@selfhelp.net